Responsible for managing, coordinating and integrating all Care Coordination services in a Patient-Centered-Medical-Home environment within CSV Medical Group Clinics. Provides Care Coordination services to patients based on person-centered acuity and leads and coordinates patient care coordination interdisciplinary team in a clinic setting. Contributes to a cooperative and accountable working relationship with other members of the Care Coordination system staff toward the goal of providing continuous services. Promotes optimal person-centered care that supports and empowers individuals, respects individual choices and meets health care needs of patients. Works side-by-side with clinic Medical Director in development of protocols and clinical-related processes. May work in traditional clinic setting and/or in a training environment (residency program

Requirements

MINIMUM QUALIFICATIONS:

EDUCATION: BSN in Nursing, preferred.

CERTIFICATION/LICENSES: Current New Mexico Nursing License

SKILLS: Considerable knowledge of health care facilities, policies and issues, and of the full spectrum of community patient care services. Considerable knowledge of health care and social management principles, practices and procedures of Patient Centered Medical Home as prescribed by NCQA standards. Ability to coordinate various functions and activities for maximum cooperation and integration of services providers and persons receiving care within a clinic for continuum of care services. Ability to direct, instruct and advise staff, and to receive and effectively react to day-to-day problems. Ability to utilize strong communication skills, both written and oral, and effectively demonstrate an interactive style of care coordination. Ability to understand and implement sensitivity and culture of care measures appropriate to a diverse population. Ability to understand and implement sensitivity and culture of care measures appropriate to a diverse population. Ability to work with various levels of the organization including clinical, financial, administrative and medical staff.

EXPERIENCE: Minimum of five years of experience in a health care setting and related experience with interdisciplinary teams, performance improvement, care coordination and population health.

CHRISTUS HEALTH is an international Catholic, faith-based, not-for-profit health system comprised of almost more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures. CHRISTUS operates in 6 U.S. states, Colombia, Chile and 6 states in Mexico. To support our health care ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on medical staffs who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.